encounter with a doctor today

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montara

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A degree even one with initials and a title dies not assure knowledge in all things. Although God does not consider him/her/it self to be a doctor, the reverse cannot be said.

^word.

My DR @ a prominent Nor-Cal institution sez "good job, knock yourself out on that vaper. Your still getting that therapeutic nicotine and... check the NON-SMOKER box!"
 

Panorama911

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My doctors, three specialists, have all been supportive, and have me listed as a non-smoker. Two weeks ago, however, I saw a nurse practitioner for a routine prescription refill. She tried to tell me that I was still a smoker, and put that in my chart again. I had to threaten to call the specialist(s) before she said she wouldn't.

I see my neurologist again next week (same system) and will have her check to make sure that the NP didn't change my records to say I'm a smoker. It should be interesting to see what she (the neurologist) has to say if it was changed.

There may be a need for not putting "non smoker" down on a medical record. The fact is you were a smoker, thus the record needs to show this in the event a procedure is needed that can be altered or affected by smoking, present or past. To just wipe a record clean of tobacco use could in the future cause an issue not anticipated. This is why it is so important to tell the physician every detail whether it seems relevant or not.

In regards to the OP and the Anesthesiologist it is VERY important for them to have all knowledge of usage as they are using very dangerous drugs to put a patient under and monitoring all vital signs thus the need to know all and the fact that the chemicals used in E juice may have some adverse affect to the drugs used to anesthetize. That said, in the case here, it could just be as simple as the Dr. wanted nothing to deal with they are not certain of, so the easy response was to say what was stated.....some Drs. just are not to eager to communicate in detail their reasoning, so a short quick response was made, "that's just as bad."....The OP should have asked , "how so?".....the reply would most likely be as I stated, "not knowing how it can effect the drugs used for the procedure or to that extent".

In sum I feel the OP is reading too much into this as if it were a danger from the comment the Dr made, remember they need to protect the patient and themselves so what was said was a safe answer and in this case..... effective!
 

The Torch

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Last time I was at the clinic, I told my doctor I quit smoking for e-cigs. He immediately noted "quit smoking" in my file and was happy about my situation.

I had an outpaitent surgery today.The [FONT=arial, sans-serif]Anesthesia doctor asked did I smoke.I said I havent had a cig in about 25 days .Now i vape. She.She preceded to tell me that that was just as bad.They don't know the whole story yet and it could be also bad for me.I said well I'm not smoking cigs after 42 years cant be all bad.Anyone else come across this?[/FONT]

Perhaps she didn't mean it's just as bad for your health, but just as bad for her to get the job done right...

There's a doctor here in town that actually gives out some medicines in vape form, crazy as that sounds, and as a result the local medical community is mostly pretty well informed. The worst I've heard is that there may be long term problems that we don't know about yet, and I just smile and agree with them.

Whoa! I knew that would be coming, but I didn't expect it this soon! (then again asthma sufferers where there before us)

An Anesthesiologist is not a Doctor.

It is still a very specialized medical profession for which you need to study a LOT more than most professions. As far as I know, it is a doctorate, therefore anesthesiologists are Doctors
.
 

edyle

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There may be a need for not putting "non smoker" down on a medical record. The fact is you were a smoker, thus the record needs to show this in the event a procedure is needed that can be altered or affected by smoking, present or past. To just wipe a record clean of tobacco use could in the future cause an issue not anticipated. This is why it is so important to tell the physician every detail whether it seems relevant or not.

In regards to the OP and the Anesthesiologist it is VERY important for them to have all knowledge of usage as they are using very dangerous drugs to put a patient under and monitoring all vital signs thus the need to know all and the fact that the chemicals used in E juice may have some adverse affect to the drugs used to anesthetize. That said, in the case here, it could just be as simple as the Dr. wanted nothing to deal with they are not certain of, so the easy response was to say what was stated.....some Drs. just are not to eager to communicate in detail their reasoning, so a short quick response was made, "that's just as bad."....The OP should have asked , "how so?".....the reply would most likely be as I stated, "not knowing how it can effect the drugs used for the procedure or to that extent".

In sum I feel the OP is reading too much into this as if it were a danger from the comment the Dr made, remember they need to protect the patient and themselves so what was said was a safe answer and in this case..... effective!

Yes; surely if they have
smoker
nonsmoker

then there's room for
"former smoker"
 

Tracey1

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When I told my doctor that I had quit smoking and had been vaping a while, he was teribly interested. That was nearly five years ago and he had never even heard of it. This wonderful man sat with me in the exam room for 45 minutes or so, asking questions, looking at my mod etc. He was truly interested and felt that it was certainly better than smoking.
He asked me about how it was going during subsequent visits and he's perfectly fine with it. He's also never asked me any concerning questions about vaping. Nor has he seen any reason to be worried about me vaping. The only thing that has really changed is that I am now a diabetic and that certainly wasn't brought on by vaping. All in all, my health has greatly improved since I quit smoking. (Except the diabetes). My doc has known me long enough to see it too. He absolutely, without question, considers me to be a non-smoker.
 
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2muffins

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When my girlfriend was pregnant, I asked the doctor if vaping was a safe alternative to smoking for someone pregnant. He sort of shruged and said, "Hmmm. I'm not sure. I can't imagine it's worse than or even as bad as smoking cigarettes while pregnant. I can't advise it since I don't have much information on vaporizers let alone vaporizing while pregnant."

I've found that many doctors just don't know.
 

Panorama911

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Yes; surely if they have
smoker
nonsmoker

then there's room for
"former smoker"

I was speaking in general terms. All Doctors are different when it comes to record keeping. In my practice I record almost everything. But in the medical field the use of E cigs is relatively unknown as to how it pertains to the human body so some may shrug and not pay much or little attention while others will feel it is not a good idea. Same goes with record keeping, which is a vast area in itself, may or may not feel it is worthy on notating.
 

imsoenthused

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Whoa! I knew that would be coming, but I didn't expect it this soon! (then again asthma sufferers where there before us)
.
What will really make you smile is that he's not a respiratory specialist or a general practitioner. He's a psychiatrist. From what I've heard from one of his patients, some of the more mild mood stabilization drugs for treating bipolar, borderline personality, etc. disorders apparently seem to have a much more beneficial effect if taken in very small amounts continuously over the course of a day. He got curious about ordering meds in a PG suspension and letting his patients vape on them through out the day, and apparently it's a huge hit with everybody involved. He can get beneficial effects with lower concentrations of medicine. They are much less likely to slip up and not take meds and have any episodes, and the hobby side of it gives them something to hold their attention that is positive and beneficial to their well being, which is therapeutically beneficial for those conditions.

I don't know if he's a quack or not, but the girl I was talking to said it was the most effective course of treatment she'd had since being diagnosed as manic bipolar as a teen.
 
I would tell them to start educating themselves and here is why. Last fall I had chest pains went to family doctor D.O. by the way they took xray seen something on lungs.
She sent me to pulmonologist who got me CT scan with contrast.

She saw I had early stage emphysema. She recommended me to do patch, gum, or e-cig to quit smoking. as any meds she could give me would not fix my problems if I did not stop the analogs. Gum did not work, Patch had nightmares in sleep. e-cig did the trick I stopped. had a follow up about 5 weeks later and no signs of emphysema!

I was also put on spiriva at the time. Since quitting no more chest pains, less anxiety and my pulmonologist now just recommends e-cigs right off the bat to all her patients because it works and it is not 100% healthy but it is a healthier alternative. because she never seen a recovery of a 20 year pack a day smoker like that before she has been doing her own studies and testing with new patients who have COPD.
Last time I saw her she said the success rate of patients stopping smoking and recovering has went up 60% vs. using patches and nic gum with no complaints of side effects from 1 single patient.

My thoughts is regardless of current testing if results are good and you feel better it must be better, but only time will tell basically when people are able to say I been vaping for 25 years without cancer, COPD etc...
My pulmonologist and D.O. say e-cigs is not smoking and have me listed as non-smoker now.

I will take pulmonologist knowledge and findings of hundreds of patients over any anesthesia doctor for 500 Alec!
 

AndriaD

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I had an outpaitent surgery today.The [FONT=arial, sans-serif]Anesthesia doctor asked did I smoke.I said I havent had a cig in about 25 days .Now i vape. She.She preceded to tell me that that was just as bad.They don't know the whole story yet and it could be also bad for me.I said well I'm not smoking cigs after 42 years cant be all bad.Anyone else come across this?[/FONT]

My asthma doctor fully supports me vaping instead of smoking; when I told him, back in january, I was about to try them, he wished me good luck.

I had my appendix out 3 wks ago; when they asked me if I smoked, I said "not for 109 days" and left it right there, because I was in way too much pain to worry about ignorant people's opinions. After the 45 mins of gen'l anesthesia, I did not have one single breathing complication, it was as if I had never smoked.

Andria
 

The Torch

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I was speaking in general terms. All Doctors are different when it comes to record keeping. In my practice I record almost everything. But in the medical field the use of E cigs is relatively unknown as to how it pertains to the human body so some may shrug and not pay much or little attention while others will feel it is not a good idea. Same goes with record keeping, which is a vast area in itself, may or may not feel it is worthy on notating.

I bet it is a matter of months before they record "E-cig user" in files and have you do a few quick extra tests or questions to start gathering data for themselves.

What will really make you smile is that he's not a respiratory specialist or a general practitioner. He's a psychiatrist. From what I've heard from one of his patients, some of the more mild mood stabilization drugs for treating bipolar, borderline personality, etc. disorders apparently seem to have a much more beneficial effect if taken in very small amounts continuously over the course of a day. He got curious about ordering meds in a PG suspension and letting his patients vape on them through out the day, and apparently it's a huge hit with everybody involved. He can get beneficial effects with lower concentrations of medicine. They are much less likely to slip up and not take meds and have any episodes, and the hobby side of it gives them something to hold their attention that is positive and beneficial to their well being, which is therapeutically beneficial for those conditions.

I don't know if he's a quack or not, but the girl I was talking to said it was the most effective course of treatment she'd had since being diagnosed as manic bipolar as a teen.

Thanks, very interesting stuff. I had said medicine will some day be delivered in vape form, but it apparently was telepathy, not a premonition :D
 

Feraloxide

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Since I got my E-Cig when I go outside on break to have a vape, I have gotten a few people commenting on it, Saying "I heard those are bad for you!" While puffing away on a Cigarette.

This. I work at a new Cabela's opening up in the area and over half the employees are smokers, it's ridiculous. Only one person I've seen uses a generic ego looking device.

I was chilling outside on my break vaping away on my RDA and this guy has the audacity to light a cigarette, come over to me while puffing on it, and then claim that they're terrible for you. I blinked at him and moved promptly.
 

Hemptation

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whole bunch of dummies in this world. in my short time on this round planet I have learned to keep my mouth shut as much as possible. not saying I am smart or a genius...... but it doesn't take much self realization to gather some common sense. my doctor told me the same thing, not enough info long term to know wether or not long term effects will become present for us. but he does know that it way better than smoking cigs. I feel so much better. lung capacity coming back, no more morning and night cough cackling. come on......... rocket science? i don't think so
 

AndriaD

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This. I work at a new Cabela's opening up in the area and over half the employees are smokers, it's ridiculous. Only one person I've seen uses a generic ego looking device.

I was chilling outside on my break vaping away on my RDA and this guy has the audacity to light a cigarette, come over to me while puffing on it, and then claim that they're terrible for you. I blinked at him and moved promptly.

Heh... the proper reply would have been "well at least they don't stink!" :D

;)
Andria
 

Panorama911

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whole bunch of dummies in this world. in my short time on this round planet I have learned to keep my mouth shut as much as possible. not saying I am smart or a genius...... but it doesn't take much self realization to gather some common sense. my doctor told me the same thing, not enough info long term to know wether or not long term effects will become present for us. but he does know that it way better than smoking cigs. I feel so much better. lung capacity coming back, no more morning and night cough cackling. come on......... rocket science? i don't think so

Unfortunately common sense plays very little a role in a Physicians decision making. Decisions are based on studies and facts...Fact....there is no evidence to rule on vaping is without question safe. The fact one has better respiratory function is not attributed to vaping but is to not smoking. There is no proof that vaping aids in respiratory health or function.

Now for doctors thoughts and decisions on vaping will vary greatly as it is a unknown area of science and some Physicians will/may pause to offer a concrete answer for this reason.....If a Physician offers a opinion to a patient that it is ok to vape and no harm is foreseen he or she is setting themselves up for a civil suit (Tort Law) when 10 years down the road the same patient suffers some illness or even death as a result from vaping. And we all know that this type of jurisprudence is widespread and many lawyers just waiting for the chance to file a suit. Today, Physicians need to protect themselves from this and in doing so they will not over step the science for common sense. Even though common sense is a smart thought process for the layman, for a Physician it is a future law suit if in error.

What needs to be done is for patients to discuss with the Physician and in time allow science to catch up with facts/evidence to support a vapers claims. In the meantime, give the Physicians the "benefit of doubt" and allow them to see how science guides them!

For those here it is "not rocket science" but to a Physician it is "science!"
 
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AndriaD

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Unfortunately common sense plays very little a role in a Physicians decision making. Decisions are based on studies and facts...Fact....there is no evidence to rule on vaping is without question safe. The fact one has better respiratory function is not attributed to vaping but is to not smoking. There is no proof that vaping aids in respiratory health or function.

FACT: if I don't vape, I WILL smoke! Period! At the point in my recent illness when I was finally able to get out of bed, I hadn't vaped in 4 days, and cravings were beating me to death -- but EVERYTHING tasted horrible after not eating for 4 days, INCLUDING THE VAPE! So I got cigarettes and smoked them, figuring they couldn't taste any worse than everything else (they didn't, though after 115 days smoke free, they sure did taste odd), and that they WOULD remove the miserable cravings -- and they did.

It's either/or for me, and likely will remain so for some years, after being a smoker for 39 yrs. In fact at the moment I'm a dual user, as I try to vape enough to get back to "these cigarettes taste AWFUL," and I'm getting there, starting to taste the bitterness again. Once I can get down to no more than 5 a day, probably the smell will start to offend me again, and from there it's a pretty short trip to smoke-free again. :thumb:

Andria
 

Hemptation

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and thats my point..........point is this. I tried everything to quit smoking after 20+ years. except for Chantix. and there is no way I am taking that pill. my doctor applauded the fact i am vaping. he said the exact same thing. no long term studies can be made for something that is trending now. shoot, 40 years ago, tv recommended everyone to start smoking. obviously gaping with nicotine isn't healthy. I understand that. here comes the "common sense" ....... smoking cigs are so much worse for anyone over Vaping. just look at whats in the e-juice. as long as we are getting quality e-juice that doesn't have crazy additives. yes I understand it is a science for doctors, and scientists. and it should be. can't wait for the first 5 and 10 year readings to become available. all I am saying is, I don't need a medical license or degree to know that Vaping these 4 additives are better for me than smoking everything in a cigarette. I feel so much better. I am able to run at work again. energy has increased. vocal pitch has increased. and really my nerves and stress levels have went down since starting this trip.
'
and honeslty I am not arguing with your point, just validating my personal stance and opinion is all, lol. I try to respect everyones opinion because people are different. and one man's trash might be another man's gold. it would be nice to see the big tobacco companies get in on the e-juice.... making it safer and cheaper for us. while tipping the fad and such in a regulatory manner. because we all know the tax man is coming. not sure when, but it's coming. eventually there will be a fight about this. about the millions of dollars being taken away from the big tobacco company, that lines the pockets of lobbyists, and congress alike. you think they have our safety as the end consumer in mind while mass producing cancer sticks? lol. ok. well I have my best interest in mind while making the switch. I buried my grandmother 4 years ago from lung cancer. it was 2 weeks after my first son was born. and I have been trying to quit ever since. had a few good runs, but always went back. this is the only thing that has kept me off the cigs. and in 6 weeks I have dropped from 18 to 12 to 6 nic level. i have no plans on going back to cigs......after 2 packs a day for so long I can't remember. I feel like million bucks. when actually its like right at 100k I have spent smoking.
 
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